Determinants of Nursing Service Quality: The Influence of Community Health Center Management Functions

Sri Wahyuni; Dwi Indah Iswanti; Tri Ismu Pujiyanto; I Made Moh. Yanuar Saifudin; Helena Alalag

doi:10.30994/jnp.v9i4.1178

Authors

Sri Wahyuni Department of Nursing, Faculty of Nursing and Health Science, Universitas Karya Husada Semarang, Indonesia
Dwi Indah Iswanti Department of Nursing, Faculty of Nursing and Health Science, Universitas Karya Husada Semarang, Indonesia https://orcid.org/0000-0002-8607-278X
Tri Ismu Pujiyanto Department of Nursing, Faculty of Nursing and Health Science, Universitas Karya Husada Semarang, Indonesia https://orcid.org/0000-0002-1748-6794
I Made Moh. Yanuar Saifudin Department of Nursing, Faculty of Medicine, Universitas Tanjungpura Pontianak, Indonesia https://orcid.org/0000-0002-1549-6403
Helena Alalag University of Bauqio, Filipina

DOI:

https://doi.org/10.30994/jnp.v9i4.1178

Keywords:

Community health center, Management functions, Nursing services, Primary health care, Service quality

Abstract

Background: The managerial capacity of community health center leaders in Indonesia remains limited, while the quality of nursing services depends heavily on how well core management functions are carried out.

Purpose: This study aimed to determine the influence of community health center management functions, namely planning, mobilization and implementation, and supervision, on the quality of nursing services, and to identify the most dominant function.

Methods: A quantitative observational study with a cross-sectional design was conducted at the Malinau Seberang Community Health Center, North Kalimantan, Indonesia, in 2025. A total sampling of 87 health workers completed Likert-scale questionnaires measuring the three management functions and service quality.

Results: Chi-square tests showed significant associations between planning (p=0.007), mobilization and implementation (p=0.007), and supervision (p=0.006) and the quality of nursing services. Multiple logistic regression confirmed that all three functions significantly influenced service quality (p<0.001), with planning showing the largest Exp(B) value (0.0135) and identified as the most dominant determinant. These estimates should be interpreted with caution, however, since the outcome was highly skewed toward the good category and the resulting odds ratios were very small.

Conclusion: These findings strengthen the evidence that integrated community health center management is key to improving nursing service quality. Health center leaders should prioritize structured, data-driven planning, supported by coordinated implementation and routine supervision, particularly in remote and border areas.

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References

Ainurrahmah, Y. (2017). Pengaruh manajemen pusat kesehatan masyarakat terhadap akses pelayanan kesehatan untuk mewujudkan mutu pelayanan kesehatan [The influence of community health center management on access to health services in realizing the quality of health services]. Jurnal Publik, 11(2), 239–256.

Andriani, A. (2017). Hubungan mutu pelayanan kesehatan dengan kepuasan pasien diruangan poli umum Puskesmas Bukittinggi [The relationship between the quality of health services and patient satisfaction in the general outpatient clinic of Puskesmas Bukittinggi]. Jurnal Endurance, 2(1), 45–52. https://doi.org/10.22216/jen.v2i1.461.

Azwar, A. (1996). Menjaga mutu pelayanan kesehatan [Maintaining the quality of health services]. Pustaka Sinar Harapan.

Buwana, S. D., Heldy, B. Z., & Fauzi. (2012). Analisis perencanaan tingkat Puskesmas di Kota Medan tahun 2012 [Analysis of Puskesmas-level planning in Medan City in 2012]. Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara. https://media.neliti.com/media/publications/14386-ID-analisis-perencanaan-tingkat-puskesmas-di-kota-medan-tahun-2012.pdf.

Efendi, F., & Makhfudli. (2009). Keperawatan kesehatan komunitas: Teori dan praktik dalam keperawatan [Community health nursing: Theory and practice in nursing]. Salemba Medika.

Herlambang, S., & Murwani, A. (2012). Cara mudah memahami manajemen kesehatan dan rumah sakit [An easy way to understand health and hospital management]. Gosyen Publishing.

Ilyas, Y. (2011). Kinerja: Teori, penilaian, dan penelitian [Performance: Theory, assessment, and research]. Pusat Kajian Ekonomi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Indonesia.

Kementerian Kesehatan Republik Indonesia. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 44 Tahun 2016 tentang Pedoman Manajemen Puskesmas [Regulation of the Minister of Health of the Republic of Indonesia Number 44 of 2016 concerning Puskesmas Management Guidelines]. https://peraturan.bpk.go.id/Details/113092/permenkes-no-44-tahun-2016.

Kementerian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 34 Tahun 2022 tentang Akreditasi Pusat Kesehatan Masyarakat, Klinik, Laboratorium Kesehatan, Unit Transfusi Darah, Tempat Praktik Mandiri Dokter, dan Tempat Praktik Mandiri Dokter Gigi [Regulation of the Minister of Health of the Republic of Indonesia Number 34 of 2022 concerning the Accreditation of Community Health Centers, Clinics, Health Laboratories, Blood Transfusion Units, Independent Doctor Practice Sites, and Independent Dentist Practice Sites]. https://peraturan.go.id/id/permenkes-no-34-tahun-2022.

Kementerian Kesehatan Republik Indonesia. (2023). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/165/2023 tentang Standar Akreditasi Pusat Kesehatan Masyarakat [Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07/MENKES/165/2023 concerning Accreditation Standards for Community Health Centers].

Kementerian Kesehatan Republik Indonesia. (2024a). Peraturan Menteri Kesehatan Republik Indonesia Nomor 19 Tahun 2024 tentang Penyelenggaraan Pusat Kesehatan Masyarakat [Regulation of the Minister of Health of the Republic of Indonesia Number 19 of 2024 concerning the Administration of Community Health Centers]. https://peraturan.bpk.go.id/Details/312837.

Kementerian Kesehatan Republik Indonesia. (2024b). Profil Kesehatan Indonesia Tahun 2023 [Indonesia Health Profile 2023]. https://www.kemkes.go.id/id/profil-kesehatan-indonesia-2023.

Makmur. (2011). Efektivitas kebijakan kelembagaan pengawasan [The effectiveness of institutional supervision policy]. Refika Aditama.

Muninjaya, A. A. G. (2004). Manajemen kesehatan [Health management] (2nd ed.). EGC.

Muninjaya, A. A. G. (2011). Manajemen mutu pelayanan kesehatan [Quality management of health services]. EGC.

Naima, Sudirman, & Anzar, M. (2018). Manajemen mutu pelayanan kesehatan di Puskesmas Sienjo Kecamatan Toribulu Kabupaten Parigi Moutong [Quality management of health services at Puskesmas Sienjo, Toribulu Subdistrict, Parigi Moutong Regency]. Jurnal Kolaboratif Sains, 1(1). https://doi.org/10.56338/jks.v1i1.404.

Niah, S. N. (2015). Manajemen pelaksanaan pelayanan Puskesmas di Kabupaten Jombang Jawa Timur [Management of Puskesmas service implementation in Jombang Regency, East Java]. Jurnal Penelitian Administrasi Publik, 1(2), 383–394. https://jurnal.untag-sby.ac.id/index.php/jpap/article/view/694.

Notoatmodjo, S. (2014). Ilmu perilaku kesehatan [Health behavior science]. Rineka Cipta.

Ramdhani, M. A., Ramdhani, A., & Kurniati, D. M. (2011). The influence of service quality toward customer satisfaction of Islamic sharia bank. Australian Journal of Basic and Applied Sciences, 5(9), 1099–1104.

Rotasouw, & Jusuf, E. (2025). Pengaruh manajemen Puskesmas terhadap mutu pelayanan Puskesmas di lingkungan Dinas Kesehatan Kabupaten Seram Bagian Barat [The influence of Puskesmas management on the quality of Puskesmas services in the West Seram Regency Health Office]. Journal Peqguruang: Conference Series, 6(2), 620–628. https://doi.org/10.35329/jp.v6i2.5694.

Satrianegara, M. F. (2014). Organisasi dan manajemen pelayanan kesehatan: Teori dan aplikasi [Organization and management of health services: Theory and application]. Salemba Medika.

Shobirin. (2016). Hubungan penerapan manajemen Puskesmas dan komitmen kerja petugas dengan mutu pelayanan pengobatan di poli umum Puskesmas Kabupaten Bangkalan [The relationship between the application of Puskesmas management and staff work commitment with the quality of treatment services in general outpatient clinics of Puskesmas in Bangkalan Regency]. Jurnal Penelitian Administrasi Publik, 2(2), 513–526. https://jurnal.untag-sby.ac.id/index.php/jpap/article/view/1006.

Sukma, S. N. F., Sudiro, & Fatmasari, E. Y. (2017). Analisis perencanaan quality assurance ditinjau dari aspek input pelayanan keperawatan rawat inap pasca akreditasi paripurna RS Swasta X Kota Semarang [Analysis of quality assurance planning from the input aspect of inpatient nursing services after plenary accreditation at Private Hospital X in Semarang City]. Jurnal Kesehatan Masyarakat (e-Journal), 5(4).

Trihono. (2005). Manajemen Puskesmas berbasis paradigma sehat [Puskesmas management based on the healthy paradigm]. Sagung Seto.

Ulumiyah, N. H. (2018). Meningkatkan mutu pelayanan kesehatan dengan penerapan upaya keselamatan pasien di Puskesmas [Improving the quality of health services through the implementation of patient safety efforts at Puskesmas]. Jurnal Administrasi Kesehatan Indonesia, 6(2), 149–155. https://doi.org/10.20473/jaki.v6i2.2018.149-155.

World Health Organization, Organisation for Economic Co-operation and Development, & The World Bank. (2018). Delivering quality health services: A global imperative for universal health coverage. World Health Organization. https://www.who.int/publications/i/item/9789241513906.